Individual
DR. JAMES GREGORY KOLWAITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
587 MAIN ST, NEW YORK MILLS, NY 13417-1481
(315) 768-7578
(315) 768-0929
Mailing address
587 MAIN ST, NEW YORK MILLS, NY 13417-1481
(315) 768-7578
(315) 768-0929
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X0089351
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002932900
BCBS
—
01
—
3210
MVP
—
01
—
5899696
GHI
—
01
—
656379
ACN
—
01
—
A7467
EMPRIE BC
—
01
—
C089351
WORKERS COMP
—
Enumeration date
10/19/2006
Last updated
04/24/2013
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